Saturday, March 24, 2012

Congratulations to Ms Syeda Hameed, Planning Commission member in-charge of health and her teamfor this long needed welcome step.

We need to be guarded by the bureaucrats struggling for resisting suchapproaches.

Of course there are development partners with conflict of interest tofuel the fire.

In early 2010-11 I had requested WHO to spearhead a movement topromote strategic planning for investment in health and supportintegrated planning for all health sector activities and programs, inthe context of strengthening HIV/AIDS.

Another issue to be promoted to derive maximum benefit is communitysystem strengthening (CSS).

This needs to go beyond the verbal rhetoric. Every program/project toshould earmark specific amount for CSS

The challenge is to develop model district plans as suggested by theHonorable planning commission member and facilitate theirimplementation with due support and regular monitoring and handholding to show results.

Regards

Dr. K Suresh

On Mar 24, 7:37 am, Avnish Jolly <avnishjo...@yahoo.com> wrote:> Plan panel bats for merger of AIDS control with NRHMhttp://timesofindia.indiatimes.com/india/Plan-panel-bats-for-merger-o...>> Kounteya Sinha<http://timesofindia.indiatimes.com/toireporter/author-Kounteya-Sinha.cms>,> TNN | Mar 24, 2012,>> NEW DELHI: India's HIV control programme could soon get merged with the> country's flagship National Rural Health Mission (NRHM), if thePlanning> Commission <http://timesofindia.indiatimes.com/topic/Planning-Commission> has> its way.>> The Commission's steering committee on health for the 12th five-year Plan> has proposed "incorporating AIDS control, universal healthcare and> universal access to essential medicines" into NRHM.>> Planning Commission member in-charge of health Syeda Hameed said, "It is a> serious recommendation to incorporate NACO<http://timesofindia.indiatimes.com/topic/NACO> under> an overall National Health Mission rather that a single vertical programme.">> The proposal, however, has left both the Union health ministry and the> National AIDS Control<http://timesofindia.indiatimes.com/topic/AIDS-Control>Organization> (NACO) unhappy.>> Union health secretary P K Pradhan said, "We have told the Planning> Commission that this recommendation cannot work. AIDS control is a> specialized issue, and needs focused attention.">> Pradhan added that AIDS control cannot be carried out by Auxiliary Nurse> Midwives (ANMs).>> "Containing AIDS and HIV in India will require dealing with sex workers,> injectible drug users, transgenders and men who have sex with men. It is a> different clientele compared to the work that ANMs do now. We are not in> favour of the merger," Pradhan added.>> Hameed, however, disagrees.>> She argued, "It's all about training the ANMs on how to carry out AIDS> control. We, however, don't want to burden them too much. The steering> committee report will undergo three levels of approval. We are confident of> pushing it through.">> The steering committee report says "Impressive gains made by national> health programs, including NRHM<http://timesofindia.indiatimes.com/topic/NRHM> and> other disease control programs, now need to be channeled to deliver> Universal Healthcare in all urban and rural areas during the 12th Plan> period.">> It adds, "The process should start during the first year of the plan itself> with Universal Healthcare pilots being run in one district of each state> and UT. Concurrently, the management structure of national health> programmes needs to take steps to prepare for UHC. Key recommendations on> this transition is reorienting from vertical disease based approach to a> holistic, health promotion strategy based on strengthening of health> systems.">> The panel says the B K Chaturvedi Committee on Restructuring of Centrally> Sponsored Schemes has also recommended merger of individual disease control> programmes.>> "The NRHM governance structure should be used to provide leadership to all> the national health programmes. Operations under national disease control> programmes should be harmonized under NRHM so as to avoid duplication and> provide convergent services in a cost-effective manner," the report says.>> India launched the first National AIDS Control Programme (NACP I) in 1992,> while NACP <http://timesofindia.indiatimes.com/topic/NACP> II was initiated> 1998. NACP III (2007-2012) was designed with the prime objective to "halt> and reverse the HIV epidemic in India" by the end of the project.>> There has been a steady decline in overall prevalence, and nearly 50% dip> in new infections over the last 10 years.>> Most of NACP III was funded by external partners like the Bill and Melinda> Gates Foundation with domestic budgetary support to the department of AIDS> control being less than 5% of the department's budget.>> The estimated number of new annual HIV infections has declined by more than> 50% over the past decade. It is estimated that India had approximately 1.2> lakh new HIV infections in 2009 as against 2.7 lakh in 2000.>> Odisha, Bihar, West Bengal, Uttar Pradesh, Rajasthan, Madhya Pradesh and> Gujarat account for 41% of new infections. The adult HIV prevalence at> national level has continued its steady decline from estimated level of> 0.41% in 2000 through 0.36% in 2006 to 0.31% in 2009.

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